NPI | 1932703501 |
---|---|
Former Name | JULIA JOYCE KREBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16308) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NY 011366) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2020-11-24 |
Last Update Date | 2024-07-18 |